Effects of external ankle support on balance control outcomes following muscle fatigue in individuals with ankle instability: A systematic review and meta-analysis
Introduction: Lateral Ankle sprain is a common sports injury with a high incidence rate after muscle fatigue. Health specialists are searching for the best conservative approach to reduce the complications of this injury and decrease the incidence rate after fatigue. This systematic review and meta-...
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Edizioni FS
2024-12-01
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| Series: | Journal of Health and Social Sciences |
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| Online Access: | https://journalhss.com/wp-content/uploads/10.192042024FFCT8.pdf |
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| author | Hanieh KHALILIYAN Mahmood BAHRAMIZADEH Amirhossein ZARE Kavita BATRA Gabriella NUCERA Aldo SITIBONDO Aanuoluwapo AFOLABI Majid ANSARI Olayinka ILESANMI Lukasz SZARPAK Alireza KHAGHANI Shahla MOHAJERI Farhad GHAFFARI Arash SHARAFATVAZIRI |
| author_facet | Hanieh KHALILIYAN Mahmood BAHRAMIZADEH Amirhossein ZARE Kavita BATRA Gabriella NUCERA Aldo SITIBONDO Aanuoluwapo AFOLABI Majid ANSARI Olayinka ILESANMI Lukasz SZARPAK Alireza KHAGHANI Shahla MOHAJERI Farhad GHAFFARI Arash SHARAFATVAZIRI |
| author_sort | Hanieh KHALILIYAN |
| collection | DOAJ |
| description | Introduction: Lateral Ankle sprain is a common sports injury with a high incidence rate after muscle fatigue. Health specialists are searching for the best conservative approach to reduce the complications of this injury and decrease the incidence rate after fatigue. This systematic review and meta-analysis aimed to assess the effectiveness of external ankle support on balance in patients with ankle instability following muscle fatigue.
Methods: We conducted a systematic search of PubMed, Scopus, and Web of Science up to April 29, 2024, to find articles involving populations with ankle instability, interventions using external ankle support (taping or ankle orthoses), and outcomes related to balance assessed during muscle fatigue. The Risk of Bias 2 tool was used for risk of bias assessment. Data on patients, interventions, fatigue protocols, and outcomes were extracted and analysed. A meta-analysis was performed using Review Manager 5.3 software, calculating standardized mean differences with 95% confidence intervals (CI) for each outcome.
Results: Nine crossover studies involving 230 subjects were included. The narrative synthesis shows that external ankle supports improve the single leg hop test [Mean difference=7.84, P=0.01], center of pressure range and velocity, and ankle inversion. The meta-analysis results indicate that compared to the control group, external ankle supports after muscle fatigue significantly change Y balance clinical test-posterolateral [MD=1.22, 95% CI (0.16, 2.28), p=0.03], Y balance clinical test-posteromedial [Mean difference=2.60, 95% CI (0.42, 4.79), p=0.03], center of pressure time to stabilization-mediolateral [Mean difference=-0.68, 95% CI (-1.29, -0.07), p=0.04], center of pressure time to stabilization-vertical [Mean difference=-0.62, 95% CI (-0.94, -0.30), p=0.01], and vertical ground reaction force [Mean difference=0.58, 95% CI (0.21, 0.96), p=0.02].
Discussion: External ankle supports are an effective conservative intervention for improving specific aspects of balance in patients with ankle instability, particularly following muscle fatigue. Significant improvements were observed in the Y Balance Test, center of pressure measures, vertical ground reaction force, and single-leg hop performance. Healthcare professionals are encouraged to incorporate external ankle supports into rehabilitation programs for individuals with ankle instability. These supports can enhance balance, improve functional outcomes, and help mitigate the negative effects of muscle fatigue on postural stability. |
| format | Article |
| id | doaj-art-2d62ee49884e4db3b329c1f412e47fa0 |
| institution | Kabale University |
| issn | 2499-2240 2499-5886 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Edizioni FS |
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| series | Journal of Health and Social Sciences |
| spelling | doaj-art-2d62ee49884e4db3b329c1f412e47fa02025-01-24T11:27:06ZengEdizioni FSJournal of Health and Social Sciences2499-22402499-58862024-12-0194564582Effects of external ankle support on balance control outcomes following muscle fatigue in individuals with ankle instability: A systematic review and meta-analysisHanieh KHALILIYAN0Mahmood BAHRAMIZADEH1Amirhossein ZARE2Kavita BATRA3Gabriella NUCERA4Aldo SITIBONDO5Aanuoluwapo AFOLABI6Majid ANSARI7Olayinka ILESANMI8Lukasz SZARPAK9Alireza KHAGHANI10Shahla MOHAJERI11Farhad GHAFFARI12Arash SHARAFATVAZIRI13Department of Orthotics and Prosthetics, School of Rehabilitation Sciences, Isfahan University of Medical Sciences, Isfahan, Iran. E-mail: haniehkhaliliyan@yahoo.com Neuromusculoskeletal Rehabilitation Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran. E-mail: mbzoandp@gmail.com Student Research Committee, School of Rehabilitation Sciences, Isfahan University of Medical Sciences, Isfahan, Iran. E-mail: zareamirhossein75@yahoo.comDepartment of Medical Education and Office of Research, Kirk Kerkorian School of Medicine at UNLV, University of Nevada, Las Vegas, USA. E-mail: kavita.batra@unlv.edu Fatebenefratelli Hospital, Milano, Italy. E-mail: gabriellanucera@gmail.comnfectious Disease Unit, University Hospital of Messina, Messina, Italy. E-mail: aldo.sitibondo@gmail.comKnowledge Management and Documentation Officer, Technical Services Directorate, MSI Nigeria Reproductive Choices, Abuja, Nigeria. Global Health and Infectious Diseases Institute, Nasarawa State University, Keffi, Nigeria. E-mail: afoannade@gmail.comSports Medicine Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran. E-mail: majid.ansari@gmail.comRegional Programme Lead, West Africa Regional Collaborating Centre, Africa Centre for Disease Control and Prevention, Abuja, Nigeria. E-mail: ileolasteve@yahoo.co.ukDepartment of Clinical Research and Development, LUXMED Group, Warsaw, Poland. Institute of Medical Science, Collegium Medicum, The John Paul II Catholic University of Lublin, Lubin, Poland. Henry JN Taub Department of Emergency Medicine, Baylor College of Medicine, Houston, TX, USA. E-mail: lukasz.szarpak@gmail.comRehabilitation Research Center, Department of Orthotics and Prosthetics, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran. E-mail: Khaghani.a@iums.ac.irDepartment of Orthotics and Prosthetics, University of Social Welfare and Rehabilitation, Tehran, Iran. E-mail: Shahlamohajeri@yahoo.comKkhatam-Alanbia Hospital, Orthopedic Department, Tehran, Iran. E-mail: Farhadb75@yahoo.comCenter for Orthopedic Trans-Disciplinary Applied Research, Tehran University of Medical Sciences, Tehran, Iran. Email: arash.sharafatvaziri@gmail.comIntroduction: Lateral Ankle sprain is a common sports injury with a high incidence rate after muscle fatigue. Health specialists are searching for the best conservative approach to reduce the complications of this injury and decrease the incidence rate after fatigue. This systematic review and meta-analysis aimed to assess the effectiveness of external ankle support on balance in patients with ankle instability following muscle fatigue. Methods: We conducted a systematic search of PubMed, Scopus, and Web of Science up to April 29, 2024, to find articles involving populations with ankle instability, interventions using external ankle support (taping or ankle orthoses), and outcomes related to balance assessed during muscle fatigue. The Risk of Bias 2 tool was used for risk of bias assessment. Data on patients, interventions, fatigue protocols, and outcomes were extracted and analysed. A meta-analysis was performed using Review Manager 5.3 software, calculating standardized mean differences with 95% confidence intervals (CI) for each outcome. Results: Nine crossover studies involving 230 subjects were included. The narrative synthesis shows that external ankle supports improve the single leg hop test [Mean difference=7.84, P=0.01], center of pressure range and velocity, and ankle inversion. The meta-analysis results indicate that compared to the control group, external ankle supports after muscle fatigue significantly change Y balance clinical test-posterolateral [MD=1.22, 95% CI (0.16, 2.28), p=0.03], Y balance clinical test-posteromedial [Mean difference=2.60, 95% CI (0.42, 4.79), p=0.03], center of pressure time to stabilization-mediolateral [Mean difference=-0.68, 95% CI (-1.29, -0.07), p=0.04], center of pressure time to stabilization-vertical [Mean difference=-0.62, 95% CI (-0.94, -0.30), p=0.01], and vertical ground reaction force [Mean difference=0.58, 95% CI (0.21, 0.96), p=0.02]. Discussion: External ankle supports are an effective conservative intervention for improving specific aspects of balance in patients with ankle instability, particularly following muscle fatigue. Significant improvements were observed in the Y Balance Test, center of pressure measures, vertical ground reaction force, and single-leg hop performance. Healthcare professionals are encouraged to incorporate external ankle supports into rehabilitation programs for individuals with ankle instability. These supports can enhance balance, improve functional outcomes, and help mitigate the negative effects of muscle fatigue on postural stability.https://journalhss.com/wp-content/uploads/10.192042024FFCT8.pdfankle sprainankle instabilitypostural controlorthosestaping |
| spellingShingle | Hanieh KHALILIYAN Mahmood BAHRAMIZADEH Amirhossein ZARE Kavita BATRA Gabriella NUCERA Aldo SITIBONDO Aanuoluwapo AFOLABI Majid ANSARI Olayinka ILESANMI Lukasz SZARPAK Alireza KHAGHANI Shahla MOHAJERI Farhad GHAFFARI Arash SHARAFATVAZIRI Effects of external ankle support on balance control outcomes following muscle fatigue in individuals with ankle instability: A systematic review and meta-analysis Journal of Health and Social Sciences ankle sprain ankle instability postural control orthoses taping |
| title | Effects of external ankle support on balance control outcomes following muscle fatigue in individuals with ankle instability: A systematic review and meta-analysis |
| title_full | Effects of external ankle support on balance control outcomes following muscle fatigue in individuals with ankle instability: A systematic review and meta-analysis |
| title_fullStr | Effects of external ankle support on balance control outcomes following muscle fatigue in individuals with ankle instability: A systematic review and meta-analysis |
| title_full_unstemmed | Effects of external ankle support on balance control outcomes following muscle fatigue in individuals with ankle instability: A systematic review and meta-analysis |
| title_short | Effects of external ankle support on balance control outcomes following muscle fatigue in individuals with ankle instability: A systematic review and meta-analysis |
| title_sort | effects of external ankle support on balance control outcomes following muscle fatigue in individuals with ankle instability a systematic review and meta analysis |
| topic | ankle sprain ankle instability postural control orthoses taping |
| url | https://journalhss.com/wp-content/uploads/10.192042024FFCT8.pdf |
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